만성폐쇄성폐질환 환자의 의료정보 문해력, COPD 관련 건강문해력 및 자가관리 이행 정도와의 관계 (Relationship between Health Literacy and Self-Management Adherence in Patients with Chronic Obstructive Pulmonary Disease)

서지정보

· 발행기관 : 한국콘텐츠학회
· 수록지 정보 : 한국콘텐츠학회 논문지 / 21권 / 8호 / 691 ~ 701페이지
· 저자명 : 김흠, 최자윤

초록

본 연구는 COPD 환자를 대상으로 보편적 건강문해력인 의료정보 문해력, COPD 특이 건강문해력인 COPD 관련 건강문해력 및 자가관리 이행 정도를 확인하고, 의료정보 문해력, COPD 관련 건강문해력과 자가관리 이행 정도와의 상관관계를 파악하였다. COPD 환자의 의료정보 문해력은 60.45±9.42점으로 중학교 1~2학년 수준이었고 COPD 관련 건강문해력이 의료정보 문해력보다 평균 점수가 낮았다. COPD 관련 건강문해력과 자가관리 이행 정도는 통계적으로 유의한 상관관계를 보였다. COPD 환자를 간호하는 간호사는 대상자의 건강문해력을 정확히 이해하고 의사소통하는 것이 필요하다고 생각된다. COPD 관련 건강문해력 증진이 자가관리 이행을 높일 수 있으므로 건강정보를 제공하거나 교육 시 COPD의 건강문해력을 증진시킬 수 있는 전략 개발이 필요하다.

영어초록

Purpose: The purpose of this study was to identify the level of health literacy (HL) and self-management adherence and to investigate the relationship between HL and self-management adherence in patients with chronic obstructive pulmonary disease (COPD). Methods: The participants of this study were 165 patients with COPD from a tertiary general hospital located in G city from February 10th to May 10th, 2021. The general HL was measured by the Korean health literacy assessment tool (KHLAT), COPD specific HL was measured by COPD-related HL tool, and COPD self-management adherence was measured by the COPD self-management tool. Results: The mean score of general HL was 60.45±9.42. The mean score of the COPD-related HL was 47.03±8.82. The mean score of the COPD self-management adherence was 87.58±14.47. There were significant differences in the level of COPD-related HL according to age (t=2.43, p=.016), and in the level of general HL (F=10.96, p<.001) and the level of COPD-related HL according to the level of education (F=19.14, p<.001). There were significant correlations between the level of general HL and the level of COPD-related HL (r=.75, p<.001) and the level of COPD-related HL and the level of self-management adherence (r=.219, p=.005). Conclusion: The HL of COPD patients was at the level of mild school 1-2 years in this study. Therefore, nurses who care for COPD patients should understand patients’ level of HL and communicate self-management skills with patients at a level appropriate for patients’ HL. In addition, it is necessary to develop strategies to easily learn COPD-related information when providing self management skills or training.

참고자료

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